动脉高血压引起的右心重构：应变评估是否有帮助？
Right heart remodeling induced by arterial hypertension: Could strain assessment be helpful?
机构信息
Department of Internal Medicine and Cardiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Clinical Research Unit, Istituto Auxologico Italiano, University of Milan-Bicocca, Meda, Italy.
出版信息
J Clin Hypertens (Greenwich). 2018 Feb;20(2):400-407. doi: 10.1111/jch.13186. Epub 2018 Jan 25.
Abstract
Left ventricular structural and functional changes in patients with arterial hypertension are well established. However, the influence of arterial hypertension on right ventricular (RV) remodeling is still being investigated. The introduction of strain analysis provided an insight into RV function and mechanics. Previous research has demonstrated the predictive value of RV longitudinal strain in patients with various cardiovascular conditions, such as pulmonary hypertension, heart failure, congenital heart diseases, and valvular disease. Nowadays, we are aware of the fact that conventional echocardiographic methods usually do not provide necessary information about RV dysfunction in patients with arterial hypertension, which is why the evaluation of new parameters that could detect RV subtle changes in hypertension is essential. The present review article is an overview of the main principles of RV deformation and a summary of the current knowledge and clinical significance of RV strain in patients with arterial hypertension.
摘要
左心室结构和功能的变化在高血压患者中已经得到了很好的证实。然而，高血压对右心室（RV）重构的影响仍在研究中。应变分析的引入为 RV 功能和力学提供了深入的了解。以前的研究表明，RV 纵向应变在各种心血管疾病患者中具有预测价值，如肺动脉高压、心力衰竭、先天性心脏病和瓣膜病。如今，我们意识到，常规超声心动图方法通常不能提供高血压患者 RV 功能障碍的必要信息，因此评估新的参数来检测高血压中 RV 的细微变化是至关重要的。本文综述了 RV 变形的主要原理，并总结了 RV 应变在高血压患者中的现有知识和临床意义。
相似文献
1
Right heart remodeling induced by arterial hypertension: Could strain assessment be helpful?动脉高血压引起的右心重构：应变评估是否有帮助？
J Clin Hypertens (Greenwich). 2018 Feb;20(2):400-407. doi: 10.1111/jch.13186. Epub 2018 Jan 25.
2
Right ventricular mechanics in patients with aortic stenosis and preserved ejection fraction: Is arterial hypertension a new player in the game?主动脉瓣狭窄伴射血分数保留患者的右心室力学：高血压是新玩家吗？
J Clin Hypertens (Greenwich). 2019 Apr;21(4):516-523. doi: 10.1111/jch.13513. Epub 2019 Mar 4.
3
Regional right ventricular remodeling and function in children with idiopathic pulmonary arterial hypertension vs those with pulmonary valve stenosis: Insights into mechanics of right ventricular dysfunction.特发性肺动脉高压患儿与肺动脉瓣狭窄患儿的右心室区域重塑及功能：对右心室功能障碍机制的见解
Echocardiography. 2017 Jun;34(6):888-897. doi: 10.1111/echo.13529. Epub 2017 Apr 1.
4
Right and left ventricular interaction in pulmonary hypertension: Insight from velocity vector imaging.肺动脉高压中左右心室相互作用：速度向量成像的见解
Echocardiography. 2019 May;36(5):877-887. doi: 10.1111/echo.14328. Epub 2019 Apr 15.
5
Right ventricular free-wall longitudinal speckle tracking strain in patients with pulmonary arterial hypertension under specific treatment.接受特定治疗的肺动脉高压患者的右心室游离壁纵向斑点追踪应变
Echocardiography. 2017 Apr;34(4):530-536. doi: 10.1111/echo.13472. Epub 2017 Mar 23.
6
Assessment of right ventricular systolic function by tissue Doppler echocardiography.应用组织多普勒超声心动图评估右心室收缩功能。
Dan Med J. 2012 Mar;59(3):B4409.
7
The impact of hypertension and hypertension-related left ventricle hypertrophy on right ventricle function.高血压及高血压相关左心室肥厚对右心室功能的影响。
Echocardiography. 2007 Apr;24(4):374-84. doi: 10.1111/j.1540-8175.2007.00419.x.
8
Does gender affect the association between right ventricular strain and arterial hypertension?性别是否会影响右心室应变与动脉高血压之间的关联？
J Clin Hypertens (Greenwich). 2018 Sep;20(9):1327-1333. doi: 10.1111/jch.13347. Epub 2018 Jul 9.
9
The influence of chemotherapy on the right ventricle: did we forget something?化疗对右心室的影响：我们是否忽略了什么？
Clin Cardiol. 2017 Jul;40(7):437-443. doi: 10.1002/clc.22672. Epub 2017 Feb 13.
10
Circadian blood pressure pattern and right ventricular and right atrial mechanics: A two- and three-dimensional echocardiographic study.昼夜血压模式与右心室及右心房力学：一项二维和三维超声心动图研究。
J Am Soc Hypertens. 2014 Jan;8(1):45-53. doi: 10.1016/j.jash.2013.07.008. Epub 2013 Sep 7.
引用本文的文献
1
Right Ventricular Structure and Function in Patients with Primary Aldosteronism: A Cardiac Magnetic Resonance Study.原发性醛固酮增多症患者的右心室结构与功能：一项心脏磁共振研究
J Clin Med. 2025 Jul 29;14(15):5367. doi: 10.3390/jcm14155367.
2
Effects of Antihypertensive Treatment on Left and Right Ventricular Global Longitudinal Strain and Diastolic Parameters in Patients with Hypertension and Obstructive Sleep Apnea: Randomized Clinical Trial of Chlorthalidone plus Amiloride vs. Amlodipine.抗高血压治疗对高血压合并阻塞性睡眠呼吸暂停患者左、右心室整体纵向应变及舒张参数的影响：氯噻酮加阿米洛利与氨氯地平的随机临床试验
J Clin Med. 2023 May 31;12(11):3785. doi: 10.3390/jcm12113785.
3
Ethnic differences in right ventricular structure and function in urbanized hypertensive patients in the Gornaya Shoriya region.城市化高血压患者右心室结构和功能的种族差异。
Sci Rep. 2023 Mar 21;13(1):4628. doi: 10.1038/s41598-023-31834-y.
4
The Diagnostic and Prognostic Value of Cardiac Magnetic Resonance Strain Analysis in Heart Failure with Preserved Ejection Fraction.心脏磁共振应变分析在射血分数保留心力衰竭中的诊断和预后价值。
Contrast Media Mol Imaging. 2023 Feb 6;2023:5996741. doi: 10.1155/2023/5996741. eCollection 2023.
5
Impact of T2DM on right ventricular systolic dysfunction and interventricular interactions in patients with essential hypertension: evaluation using CMR tissue tracking.高血压患者中 2 型糖尿病对右心室收缩功能障碍和室间相互作用的影响：应用 CMR 组织追踪技术的评估。
Cardiovasc Diabetol. 2022 Nov 9;21(1):238. doi: 10.1186/s12933-022-01678-3.
6
The impact of different left ventricular geometric patterns on right ventricular deformation and function in the elderly with hypertension: A two-dimensional speckle tracking and three-dimensional echocardiographic study.不同左心室几何形态对老年高血压患者右心室变形及功能的影响：二维斑点追踪及三维超声心动图研究
Front Cardiovasc Med. 2022 Oct 18;9:929792. doi: 10.3389/fcvm.2022.929792. eCollection 2022.
7
Right Ventricular Performance in Uncontrolled Hypertensive Patients: 2D vs. 4D Echo Study.未控制高血压患者的右心室功能：二维与四维超声心动图研究
J Cardiovasc Imaging. 2022 Oct;30(4):290-291. doi: 10.4250/jcvi.2022.0070.
8
The Usefulness of 4D Echocardiographic Modality for Assessing RV Affection in Uncontrolled Hypertensive Patients.4D超声心动图模式在评估未控制高血压患者右心室病变中的应用价值
J Cardiovasc Imaging. 2022 Oct;30(4):279-289. doi: 10.4250/jcvi.2021.0185.
9
Strain Imaging for the Early Detection of Cardiac Remodeling and Dysfunction in Primary Aldosteronism.应变成像用于原发性醛固酮增多症中心脏重塑和功能障碍的早期检测
Diagnostics (Basel). 2022 Feb 20;12(2):543. doi: 10.3390/diagnostics12020543.
10
Current Understanding of the Right Ventricle Structure and Function in Pulmonary Arterial Hypertension.肺动脉高压中右心室结构和功能的当前认识
Front Physiol. 2021 May 28;12:641310. doi: 10.3389/fphys.2021.641310. eCollection 2021.
本文引用的文献
1
Nocturnal hypertension and right heart remodeling.夜间高血压与右心重构。
J Hypertens. 2018 Jan;36(1):136-142. doi: 10.1097/HJH.0000000000001506.
2
Preoperative right ventricular dysfunction is a strong predictor of 3 years survival after cardiac surgery.术前右心室功能障碍是心脏手术后 3 年生存的强有力预测因子。
Clin Res Cardiol. 2017 Sep;106(9):734-742. doi: 10.1007/s00392-017-1117-y. Epub 2017 Apr 13.
3
Left ventricular mass-geometry and silent cerebrovascular disease: The Cardiovascular Abnormalities and Brain Lesions (CABL) study.左心室质量-几何形态与无症状脑血管疾病：心血管异常与脑损伤（CABL）研究。
Am Heart J. 2017 Mar;185:85-92. doi: 10.1016/j.ahj.2016.11.010. Epub 2016 Dec 21.
4
Right ventricular strain: An independent predictor of survival in idiopathic pulmonary fibrosis.右心室应变：特发性肺纤维化患者生存的独立预测因素。
Int J Cardiol. 2016 Nov 1;222:908-910. doi: 10.1016/j.ijcard.2016.07.288. Epub 2016 Aug 6.
5
Right ventricular remodeling and updated left ventricular geometry classification: is there any relationship?右心室重构与更新后的左心室几何形状分类：它们之间有关系吗？
Blood Press. 2016 Oct;25(5):292-7. doi: 10.3109/08037051.2016.1172868. Epub 2016 Apr 28.
6
The Impact of White-Coat Hypertension on Cardiac Mechanics.白大衣高血压对心脏力学的影响。
J Clin Hypertens (Greenwich). 2016 Jul;18(7):617-22. doi: 10.1111/jch.12826. Epub 2016 Apr 21.
7
The influence of masked hypertension on the right ventricle: is everything really masked?隐匿性高血压对右心室的影响：一切真的都被隐匿了吗？
J Am Soc Hypertens. 2016 Apr;10(4):318-24. doi: 10.1016/j.jash.2016.02.001. Epub 2016 Feb 11.
8
Association of a 4-Tiered Classification of LV Hypertrophy With Adverse CV Outcomes in the General Population.左心室肥厚的四级分类与普通人群不良心血管结局的关联
JACC Cardiovasc Imaging. 2015 Sep;8(9):1034-1041. doi: 10.1016/j.jcmg.2015.06.007. Epub 2015 Aug 19.
9
Multimodality Evaluation of the Right Ventricle: An Updated Review.右心室的多模态评估：最新综述
Clin Cardiol. 2015 Dec;38(12):770-6. doi: 10.1002/clc.22443. Epub 2015 Aug 20.
10
Risk of mortality in relation to an updated classification of left ventricular geometric abnormalities in a general population: the Pamela study.普通人群中左心室几何形态异常的更新分类与死亡风险：帕梅拉研究
J Hypertens. 2015 Oct;33(10):2133-40. doi: 10.1097/HJH.0000000000000658.
Zotero 插件